Patient Intake Form

Thank you for giving Roseway Veterinary Hospital the opportunity to care for your pet(s). Please fill out the Patient Intake form below prior to your visit so we can expedite your pet’s appointment. If you have not yet scheduled an appointment, please contact us at 503-446-2450.

Patient Intake Form

Please note: due to the COVID-19 crisis, we are not allowing clients in the hospital. Please call us at 503-446-2450 when you arrive to drop off your pet and remain in the immediate area during your pet’s appointment.

You may complete the web form and submit it online below or click the button to download it and submit it via email ahead of your pet’s appointment.

How to download and email the PDF form:

  1. Open the fillable PDF version of the form by clicking the button below.
  2. Download the blank form to your computer. DO NOT complete the form in your web browser. The data will not save. Be sure to download the file to your computer first before you begin to fill out the form. 
  3. Complete the fillable PDF form using your computer’s PDF reader program.
  4. Save the completed form as a new file and email it as an attachment to

If you have any questions or issues with the form, please call us at 503-446-2450.

Patient Intake Form

Client Information

Please ensure that you are avaible at one of the above numbers during your pet’s appointment

For New Clients

To save time, please have your previous veterinarian send your pet’s records to

Patient History

Please include type/brand, frequency, time of day and any regular treats given.
Please include type/brand, dosage, frequency and time of day given.
Please include both national and international travel.